MR. ROOSEVELT KING JR. (NPI# 1659568905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659568905 |
| Entity Type | Individual |
| Full Name | MR. ROOSEVELT KING JR. |
| Practice Address |
2923 Gladiolus Ln Dallas TX 75233-3905 |
| Practice Telephone | 2148082608 |
| Practice Fax Number | 2143313086 |
| Mailing Telephone | 2148082608 |
| Mailing Fax Number | 2143313086 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 119896 | TX | Nursing & Custodial Care Facilities |
| Street Address |
2923 GLADIOLUS LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75233-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215475850 | Care of Hands Services, Inc | Technician | 2923 Gladiolus Ln, Suite 105, Dallas, TX 75233-3905 | 2017-02-02 |
| 1457687576 | Helping Hands Care, Inc. | Assisted Living Facility | 2923 Gladiolus Ln, Dallas, TX 75233-3905 | 2009-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902344245 | Todae Charles | Case Manager/Care Coordinator | 2932 Gladiolus Lane, Dallas, TX 75233 | 2017-02-07 |
| 1609122555 | Joshua Earl Pulis | Social Worker | 3318 S.franklin St., Dallas, TX 75233 | 2012-07-30 |
| 1023148723 | Golden Rule Schools Inc | Local Education Agency (LEA) | 2602 W Illinois Ave, Dallas, TX 75233-1002 | 2007-03-06 |
| 1457480790 | Heena Nitin Kanase | Pediatrics | 2736 W Illinois Ave, Dallas, TX 75233-1004 | 2007-03-04 |
| 1699913137 | Roxanne Laine Gelbar | Physician Assistant | 2736 W Illinois Ave, Dallas, TX 75233-1004 | 2009-01-21 |
| 1811166903 | Oak Cliff Children's Clinic, P.a. | Pediatrics | 2736 W Illinois Ave, Dallas, TX 75233-1004 | 2008-02-22 |
| 1831287994 | Secure Haven Adult Day Care, Inc. | Custodial Care Facility | 2837 W Illinois Ave, Dallas, TX 75233-1005 | 2006-10-11 |
| 1306039003 | Sirra Health Services Inc. | Home Health | 2837 W Illinois Ave, Dallas, TX 75233-1005 | 2007-08-26 |
| 1356618227 | Palakritu Enterprise Inc | Pharmacy | 2480 W Illinois Ave, Dallas, TX 75233-1106 | 2011-11-21 |
| 1912198482 | Antonio Ramon Rivera | Dentist | 2428 W Illinois Ave, Dallas, TX 75233-1106 | 2007-08-08 |
| Find all providers in zip 75233 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215492483 | Talco House Assisted Living | Assisted Living Facility | 2328 Talco Dr, Dallas, TX 75241-1423 | 2019-02-01 |
| 1174017057 | Blessings of Love Corporation | Assisted Living Facility | 1208 Willow Glen Dr, Dallas, TX 75232-2438 | 2018-06-14 |
| 1497250005 | Entrust Senior Living of Desoto LLC | Assisted Living Facility | 8027 W Virginia Dr, Dallas, TX 75237-3767 | 2018-03-26 |
| 1235646902 | Dominique Brackens | Assisted Living Facility | 6005 Park Manor Dr, Dallas, TX 75241-5241 | 2018-01-04 |
| 1265942338 | Kimberlee Williams | Assisted Living Facility | 7412 S Lancaster Rd, Dallas, TX 75241-5713 | 2017-10-03 |
| 1245754381 | Sharon Denise Gamble King | Assisted Living Facility | 7412 Lake June Rd, Dallas, TX 75217-1644 | 2017-07-31 |
| 1235681594 | Mason's Personal Care Homes #2 | Assisted Living Facility | 10451 Summer Oaks Dr, Dallas, TX 75227-7681 | 2016-11-02 |
| 1285187559 | Morning Starr New Beginnings | Assisted Living Facility | 9016 Tampas Ln, Dallas, TX 75227-5216 | 2016-08-03 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1649644972 | C.e.yates Enterprises LLC | Assisted Living Facility | 7822 Red Spring Rd, Dallas, TX 75241-5353 | 2015-11-24 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.